L.c.c.c.s Children's Development Center is a Counselor Clinic in Williamsport, Pennsylvania. It is located at 625 W Edwin St, Williamsport, PA and its contact number is 570-326-0565. The authorized person for L.c.c.c.s Children's Development Center is Mr. Anthony P. Perrotta
who is Executive Director of the clinic and his/her contact number is 570-326-0565. The primary license number for L.c.c.c.s Children's Development Center is SL000825L (Speech-language Pathologist) in Pennsylvania. L.c.c.c.s Children's Development Center Clinic has individuals who are licensure in clinical psychology and has done specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology. Neuropsychology is a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Complete Clinic Profile:
L.c.c.c.s Children's Development Center Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
L.c.c.c.s Children's Development Center
Specialization:
Clinical Neuropsychologist
Clinic Address:
625 W Edwin St, Williamsport, Pennsylvania, 17701
Phone:
570-326-0565
Fax:
570-329-2522
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Anthony P. Perrotta
Position:
Executive Director
Contact Number:
570-326-0565
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for L.c.c.c.s Children's Development Center clinic are as mentioned below.
NPI Number:
1104970227
NPI Enumeration Date:
23 Jan, 2007
NPI Last Update On:
28 Sep, 2009
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for L.c.c.c.s Children's Development Center are as mentioned below.
Specialization
License Number
State
Status
Speech-language Pathologist
SL000825L
Pennsylvania
Primary
Clinical Neuropsychologist
PS005489L
Pennsylvania
Secondary
Psychologist
PS005489L
Pennsylvania
Secondary
Clinical
PS005489L
Pennsylvania
Secondary
Physical Therapist
PT000490E
Pennsylvania
Secondary
Physical Therapist
PT002737L
Pennsylvania
Secondary
Physical Therapist
PT016332L
Pennsylvania
Secondary
Occupational Therapist
OC006418L
Pennsylvania
Secondary
Speech-language Pathologist
SL002712L
Pennsylvania
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100004601
Medicaid
Pennsylvania
43093
Other
Pennsylvania
Geisinger Health Plan
000999239
Other
Pennsylvania
Highmark Blue Shield
1000046010005
Medicaid
Pennsylvania
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
L.c.c.c.s Children's Development Center 625 W Edwin St, Williamsport, Pennsylvania
Zip:
17701
Phone Number:
570-326-0565
Fax Number:
570-329-2522
Patients can reach L.c.c.c.s Children's Development Center at 625 W Edwin St, Williamsport, Pennsylvania or can call to book an appointment on 570-326-0565. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.